DR. SHANNON B WILSON (NPI# 1326465220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326465220 |
| Entity Type | Individual |
| Full Name | DR. SHANNON B WILSON |
| Other Name | DR. SHANNON B KIM |
| Credential | M.D. |
| Practice Address |
600 Gresham Dr Norfolk VA 23507-1904 |
| Mailing Address |
Po Box 1980 Norfolk VA 23501-1980 |
| Practice Telephone | 7573881141 |
| Practice Fax Number | 7573881145 |
| Mailing Telephone | 7573881141 |
| Mailing Fax Number | 7573881145 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101267058 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752425 | Shannon Michelle Wilson | Licensed Practical Nurse | 38 S Thomas Rd Unit B, Tallmadge, OH 44278-2100 | 2019-04-03 |
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1841711173 | Shannon Wilson | Physical Therapy Assistant | 6102 Easton Rd, Knoxville, TN 37920-6434 | 2017-06-27 |
| 1629417746 | Shannon Marie Wilson | Counselor | 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 | 2013-06-21 |
| 1033402268 | Shannon Lotess Wilson | Licensed Practical Nurse | 16834 127th Ave, 6a, Jamaica, NY 11434-3148 | 2011-05-20 |
| 1013225754 | Shannon Amber Wilson | Social Worker | 3535 N California Ave, Suite F, Peoria, IL 61603-1178 | 2010-09-15 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1477681146 | Shannon Brock Wilson | Dentist | 19 Shirmadon Dr, Honea Path, SC 29654-1533 | 2007-03-02 |
| 1730714320 | Shannon Elise Wilson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-03-04 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| Street Address |
600 GRESHAM DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900515 | Alan C. Harris | Pathology | 600 Gresham Dr, Sentara Norfolk General Hospital Path Dept, Norfolk, VA 23507-1904 | 2005-05-27 |
| 1144834193 | Ana Rosa Vilela Sangay | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-09-06 |
| 1396357901 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-08-17 |
| 1912515610 | Ashley Conner Hihn | Nurse Practitioner | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-07-19 |
| 1396353181 | Levan Gakhokidze | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-07-17 |
| 1841816022 | Melissa Marie Davis | Nurse Practitioner | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-06-23 |
| 1801417506 | Patricia Dickerson | Respiratory Therapist, Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-05-04 |
| 1871112862 | Larry Michael Newton Jr. | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-10 |
| 1710516000 | Emily Carbaugh | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-07 |
| 1700415254 | Lexie Elizabeth Neubauer | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1275854226 | Mary W. Huff | Radiology | 6478 Kenlake Ct, Norfolk, VA 23518-5326 | 2010-06-14 |
| 1285861708 | Christopher Daniel Maroules | Radiology | 1912 N Brandon Ave, Norfolk, VA 23507-1116 | 2009-06-11 |
| 1194969204 | Jeffrey Ryan Gourley | Radiology | 110 Kingley Lane, Suite 305, Norfolk, VA 23505-4617 | 2009-04-21 |
| 1902829260 | Rohan Anthony Stern | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2006-07-26 |
| 1013986413 | Julie Anne Krumreich | Radiology | 218 E 42nd St, Norfolk, VA 23504-1016 | 2006-03-16 |
| 1922077312 | Daniel J Melkus | Radiology | 1603 Bel Air Rd, Norfolk, NE 68701-2663 | 2006-03-16 |
| 1023008240 | Norbertina L Banson | Radiology | 835 Glenrock Rd, Ste 100a, Norfolk, VA 23502-3767 | 2005-10-27 |
| 1467069732 | Sentara Advanced Imaging Solutions, LLC | Radiology | 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 | 2020-09-30 |
| 1376989806 | Sandeep K Garg | Radiology | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2013-05-10 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.